- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $74.87 / $222.15
| Facility | | $11.44 | $74.87 | $222.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $13.12 / $26.08
| Professional | | $9.02 | $13.12 | $26.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $9.02 / $15.05
| Professional | | $9.02 | $9.02 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $48.33 / $90.15
| Facility | | $18.05 | $48.33 | $90.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.98 / $10.72
| Professional | | $5.00 | $7.98 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $22.58 / $84.52
| Facility | | $15.05 | $22.58 | $84.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $14.93 / $22.58
| Professional | | $11.29 | $14.93 | $22.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $15.05
| Facility | | $15.05 | $15.05 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $33.06 / $76.67
| Facility | | $10.52 | $33.06 | $76.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.01 / $25.17
| Professional | | $7.98 | $11.01 | $25.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.95 / $146.16 / $146.16
| Facility | | $114.95 | $146.16 | $146.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $15.05 / $22.24
| Facility | | $12.04 | $15.05 | $22.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $15.05 / $19.62
| Professional | | $13.55 | $15.05 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.98 / $162.75 / $3,040.47
| Facility | | $113.98 | $162.75 | $3,040.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $15.05 / $37.85
| Facility | | $12.04 | $15.05 | $37.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.58 / $21.76
| Professional | | $7.98 | $11.58 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.61 / $12.45
| Professional | | $6.32 | $8.61 | $12.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $7.44 / $15.05
| Professional | | $5.87 | $7.44 | $15.05 |